2008, Number 3
Enfermedad de Stargardt con fondo flavimaculatus y degeneración de la capa de fibras nerviosas de la retina semejando glaucoma. Presentación de un caso y su progresión en diez años
Cubas-Lorenzo V, Gutiérrez JC, López-Ramos L
Full text
Language: Spanish
References: 7
Page: 179-183
PDF size: 266.97 Kb.
ABSTRACT
Introduction: Stargardt’s disease and fundus flavimaculatus are variants of the same nosological entity; they are the most common juvenile macular dystrophy and a common cause of central vision loss in adults under the age of 50. It is inherited as an autosomal recessive trait, the age of onset is during the first or second decade of life, progression is rapid and visual prognosis is poor.Case report: A twenty three year old male diagnosed with Stargardt’s disease and fundus flavimaculatus at age thirteen presents with very low visual capacity and both optic nerves with characteristics of glaucomatous damage. We present the clinical findings and damage progression in posterior pole and fluorescein angiography at the time of diagnosis and ten years later.
Discussion: Nerve fiber layer loss has been observed within multiple pathologies that cause damage to the outer retinal layers, this process can generate changes in the optic nerve appearance which may be confused with glaucoma.
Conclusion: Most macular dystrophies share the same clinical findings, however, their course and prognosis can be quite different.
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